About

In 2007, I decided to relocate to our nation’s capital, from Seattle, Washington, to further my interests while continuing to live in the future. I believe in open leadership, sharing, and freedom from conflict of interest.

Still catching up on the threads of not this recent #LCB18 but the more distant #LowCarbSanDiego, and this paper on the prevalence of the disease the medical profession is just starting to understand, non-alcoholic fatty liver disease, or NAFLD.

“Every year we have the opportunity to spotlight queer women who are making moves in their business and/or communities. This year is no different. On March 15, we will celebrate eight diverse women making a difference in LGBTQ Community.”2018 @TaggMagazine Enterprising Women This year’s reception included an unanticipated and very welcome addition – students from …

Thanks again for publishing one of my photographs, @DCPolicyCenter, in this excellent piece by @DataKateR. This photograph is definitely a photoshop production, however, it’s what I saw in my mind when I took it. That’s what photoshop is for 🙂 . If you’d like to see the original: Photo Friday: Sun Bath, Washington, DC USA …

Thanks for publishing my photo as the cover for this series of articles on Branding Social Justice, Media Res (twitter:mc_imr). The photograph was taken 5 years ago at Capital Pride, in Washington, DC. That year was also my first as a volunteer (now a member of the producer team) for Capital TransPride (@TransPrideDC). I was …

Thanks for publishing my photograph, @MsMagazine, in this piece written by @kylietcheung. The photograph was was taken at #WerkForConsent a Queer and Trans Dance Protest, in Washington, DC on January 27, 2018: It’s time to come together and demand a world where no one has to say #MeToo. Artist credit for the event goes to …

Thanks again, @cjr, for publishing one of my photographs. This one was taken after the events in Charlottesville last year. Seems like so long ago. Always gearing up for the next one, to see the future being born…. PRESIDENT DONALD TRUMP drives journalism unlike any US president before him. Trump’s tweets send newsrooms scrambling to publish …

This paper, published in JAMA Surgery last week, provides important evidence of the value of providing medically-necessary care to people who are trasngender or gender nonconforming.

he primary importance of this paper is as the first study to our knowledge that broadly evaluates national temporal trends in gender-affirming surgery for transgender patients in the United States.

The importance to physicians and the people we serve is the above plus the data in Table 1: “Characteristics of Patients Who Have a Diagnosis Code for Transsexualism or Gender Identity Disorder in the National Inpatient Sample”

Of the 37,827 inpatient encounters in the sample, 14,128, or 40.5 % are for Mental Health. This dwarfs the number for actual treatment-related reasons, such as gender affirming surgery.

When I went to Low Carb San Diego in August, 2017, my post was simply: Adventures at Low Carb San Diego. I was only learning about metabolic health (and San Diego was where I first learned the term – thanks to Sarah Hallberg, DO, MS – @DrSarahHallberg) then. Interesting that I only learned about it …